Mental health professionals' attitudes towards and knowledge of electroconvulsive therapy

Lutchman, Russell D.; Stevens, Tara; Bashir, Amir; Orrell, Martin

doi:10.1080/09638230124779

Cited by 36 publications

(6 citation statements)

References 19 publications

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“…The Questionnaire on Attitudes and Knowledge of ECT (QuAKE) 28 was used to assess knowledge and attitudes about ECT (Supplemental Digital Content, Supplementary Table 1, http://links.lww.com/JECT/A150). The QuAKE is a widely used instrument that has been shown to have good internal consistency (Cronbach α , 0.91) and split-half reliability in a sample of mental health professionals (Guttman split-half score, 0.92).…”

Section: Methodsmentioning

confidence: 99%

Effect of an Educational Video and Information Pamphlet on Knowledge and Attitudes About Electroconvulsive Therapy

Shin

Taylor

et al. 2022

J ECT

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Objective: Electroconvulsive therapy (ECT) is considered an effective, yet underused and stigmatized form of psychiatric treatment. Public misconception can impact informed decision making, and therefore, it is important to educate the community with accurate and realistic representations of modern ECT. The aim of this study was to determine whether exposure to brief information packages developed in Australia leads to changes in attitudes and knowledge about ECT.Methods: A sample of 100 undergraduate psychology students and 88 volunteers from the general public were randomly allocated to view 1 of 3 resource packages (each containing an information pamphlet and videos totaling ~15 minutes): Concord Centre for Mental Health-Revised, Concord Centre for Mental Health-Original, and a generic information package on depression. Participants' attitudes and knowledge of ECT were assessed before and after psychoeducation using the Questionnaire on Attitudes and Knowledge of ECT (QuAKE).Results: Participants in the student and general population exposed to either ECT resource package showed significantly improved attitudes and knowledge of ECT compared with participants exposed to generic information about depression and its treatment. A fine-grained analysis of the QuAKE revealed that, although many aspects of knowledge and attitudes improved after exposure to ECT information packages, some remained unchanged.Conclusions: Brief education through information resources in video and written format can markedly improve attitudes and knowledge toward ECT. Further research is recommended to determine whether the resources contribute to informed decision making of consumers with mental illness, especially those who are candidates for ECT.

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Section: Methodsmentioning

confidence: 99%

Effect of an Educational Video and Information Pamphlet on Knowledge and Attitudes About Electroconvulsive Therapy

Shin

Taylor

et al. 2022

J ECT

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“…Recovery is a “poly-variant” concept with understandings offered from biomedical, social and service user-led perspectives [24]. The different professional perspectives on ECT [10], as discussed in the introduction, may also be applied to perspectives on recovery. ECT is, however, a predominantly biomedical approach.…”

Section: Discussionmentioning

confidence: 99%

“…There has been little research exploring staff views on the use of ECT. One study found there were significant differences in attitudes towards ECT between those in different job roles [10]. The study highlighted a need for awareness of differences of opinion within multi-disciplinary teams (MDT) towards the treatment, stating teams should be aware there might be strong differences of opinion amongst members.…”

Section: Introductionmentioning

confidence: 99%

What is the process by which a decision to administer electroconvulsive therapy (ECT) or not is made? A grounded theory informed study of the multi-disciplinary professionals involved

Duxbury

Smith

Edwards³

et al. 2018

Soc Psychiatry Psychiatr Epidemiol

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PurposeTo develop a grounded theory-informed model explaining the decision-making process professionals in multi-disciplinary teams go through in deciding whether to administer electroconvulsive therapy (ECT) or not.MethodsA grounded theory informed methodology was used to analyse the data offered by ten participants who had all been involved in the process of deciding if someone has ECT or not.ResultsThe core categories, described as ‘layers’ in this research, ‘personal and professional identity’; ‘subjective vs objective’; ‘Guidelines or Clinical Instinct?’; ‘Someone has to take Responsibility’ and ‘the decision in action’, were constructed from the data.ConclusionsThe study describes a useful insight into the layers of the decision-making process that could be further considered in clinical settings. The model highlights the decision to give ECT that has many different layers including professional identity, how a person understands the evidence base, past experiences, and the amount of power they have in the process. The consultant psychiatrist and the patient were seen as holding most power in the process depending on whether the Mental Capacity Act (2005) or Mental Health Act (2007) was being followed. Patients were seen to experience a very different decision-making process dependant on the personal views of the professionals in relation to ECT.

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“…A minimum score of 0 and a maximum score of 16 are possible. The questionnaire has been shown to have good internal consistency and split-half reliability [13]. Permission to use the QuAKE has been obtained from Professor Martin Orrel on behalf of the authors.…”

Section: Methodsmentioning

confidence: 99%

“…Significant differences in attitudes to and knowledge of ECT between psychiatrists, psychologists, nurses and social workers have been reported, with psychiatrists being most favourably disposed and most knowledgeable, followed by nurses, social workers and psychologists in that order [13].…”

Section: Introductionmentioning

confidence: 99%

Electroconvulsive Therapy in the Eyes of Undergraduate Nursing Students

Igwe¹,

Ndukuba²,

Attama³

et al. 2014

OJN

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Despite the fact that electroconvulsive therapy (ECT) is an established safe and effective procedure, its use has continued to attract controversy with considerable stigma associated with it. This often overshadows the established effectiveness. Poor knowledge, negative attitude and bias towards ECT by the nurses may translate to poor education and support to patients from whom they are expected to obtain informed consent before an ECT procedure. This study assessed the perception of undergraduate nursing students of a Nigerian university about ECT. A total of 81 students who had completed all relevant lectures and practical/clinical exposures in psychiatry as prescribed in their academic curricular participated in the study. All the consenting students were administered the socio-demographic questionnaire and modified questionnaire on attitude and knowledge of electroconvulsive therapy (QuAKE). Majority of the students responded appropriately to the principal uses of ECT. Few believed that ECT was an outmoded form of treatment, that the procedure was cruel and barbaric, that psychiatrists who still administered ECT were wicked and not responsible physicians, and that it caused permanent brain damage. The total mean score of the students was 7.53 ± 2.65. Fifty eight (71.6%) students observed an ECT procedure and followed up the patients during the posting. They scored 7.17 ± 2.55 while 23 (28.4%) students who had not observed the procedure scored 6.98 ± 1.92 on the QuAKE (t = −0.36, p = 0.72). Thirty one (38.3%) students who would accept the procedure if indicated scored 7.14 ± 2.21 while 50 (61.7%) of them who would not allow ECT carried out on them scored 6.88 ± 1.96 (t = 0.56, p = 0.58). The * Corresponding author. M. N. Igwe et al. 819 mean score of 29 (35.8%) students who might pursue psychiatry as a career was 8.10 ± 1.90 while 52 (64.2%) of them who would not specialise in psychiatry scored 6.05 ± 1.79 (t = 5.00, p < 0.001). The total mean score on the QuAKE was low among the student nurses. Therefore, there is a need to improve undergraduate nursing education on ECT.

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Mental health professionals' attitudes towards and knowledge of electroconvulsive therapy

Cited by 36 publications

References 19 publications

Effect of an Educational Video and Information Pamphlet on Knowledge and Attitudes About Electroconvulsive Therapy

Effect of an Educational Video and Information Pamphlet on Knowledge and Attitudes About Electroconvulsive Therapy

What is the process by which a decision to administer electroconvulsive therapy (ECT) or not is made? A grounded theory informed study of the multi-disciplinary professionals involved

Electroconvulsive Therapy in the Eyes of Undergraduate Nursing Students

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